Application Value of Medical Chlorhexidine Gluconate Cotton Tablets in Hemodialysis Catheter Nursing

Zhi-fei MIAO; Dong-jing RONG; Yan-qing CHEN; Shou-kun CHEN

doi:10.12259/j.issn.2095-610X.S20211022

Volume 42 Issue 10

Oct. 2021

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Lin Jie . QOL Analysis of 477 Cases of Osteoporotic Fracture Patients[J]. Journal of Kunming Medical University, 2016, 37(01).

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Zhi-fei MIAO, Dong-jing RONG, Yan-qing CHEN, Shou-kun CHEN. Application Value of Medical Chlorhexidine Gluconate Cotton Tablets in Hemodialysis Catheter Nursing[J]. Journal of Kunming Medical University, 2021, 42(10): 185-188. doi: 10.12259/j.issn.2095-610X.S20211022

Lin Jie . QOL Analysis of 477 Cases of Osteoporotic Fracture Patients[J]. Journal of Kunming Medical University, 2016, 37(01).

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Application Value of Medical Chlorhexidine Gluconate Cotton Tablets in Hemodialysis Catheter Nursing

doi: 10.12259/j.issn.2095-610X.S20211022

1.
Dept. of Nephrology and Blood Purification，The Third People’s Hospital of Yunnan Province，Kunming Yunnan 65001
2.
Dept. of Blood Purification，The Third People’s Hospital of Kunming，Kunming Yunnan 650041，China

Received Date: 2021-07-16
Publish Date: 2021-10-25

Abstract

Abstract

Objective To explore the clinical value of using medical chlorhexidine gluconate cotton tablets to nursing the central venous catheter connector of hemodialysis and reducing catheter-related infection. Methods 90 patients who received central venous catheterization in the hemodialysis room of Yunnan Third People’ s Hospital and Kunming Third People’ s Hospital from January 2018 to December 2020 were selected as the research objects. According to different disinfection methods of hemodialysis catheter connectors, 90 patients were randomly divided into observation group and control group, with 45 cases in each group. Routine iodophor cotton swabs were used to disinfect the catheter threaded joints in the control group, and chlorhexidine gluconate cotton tablets were used to wipe and disinfect the catheter threaded joints in the observation group. The incidence of catheter-related infection and nursing quality score of hemodialysis patients in the two groups were observed. Results There were 13 cases of catheter-related infection in the control group （28.9%） and 3 cases in the observation group （6.7%）. The difference was statistically significant （P < 0.05）; The score of nursing quality was 91.96±2.76 in the observation group and 87.16±2.99 in the control group （ P < 0.05）. Conclusion Using medical chlorhexidine gluconate cotton tablet to wipe and disinfect the threaded joint of hemodialysis catheter can reduce the incidence of catheter-related infection, improve the quality of nursing operation and infection prevention and control, and has clinical application value.
- Hemodialysis,
- Chlorhexidine cotton tablets,
- Catheter related infection,
- Nursing quality

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